ACL Reconstruction — BPTB Allograft/Autograft

Dr. Brian Cole MD (Rush University Medical Center) · Dr. Brian J. Cole

Weight-Bearing

WBAT with crutches (Phase I); gradually D/C crutches (Phase II)

Key Restrictions

Brace locked full ext for ambulation and sleeping x 1 wk; unlocked for ambulation wks 1-4 and may be removed for sleeping after first post-op visit (day 7-10); D/C brace when full ext and no lag; ROM as tolerated; SLR with brace in full ext until quad prevents lag

Timeline & Phases

5 phases: Phase I (0-4 wks, WBAT with crutches, brace locked then unlocked, heel slides, quad/hamstring sets, patellar mobs, SLR in brace), Phase II (4-6 wks, D/C crutches and brace with full extension and no lag, toe raises, closed chain extension, balance, hamstring curls, stationary bike), Phase III (6 wks-4 months, advance closed chain strengthening and proprioception, Stairmaster/Nordic Trac, straight-ahead running at 12 wks), Phase IV (4-6 months, forward/backward running, cutting, grapevine, plyometrics, sport-specific drills), Phase V (6+ months, gradual return to sport, maintenance program)

Notes

Covers both allograft and autograft BPTB; modified with concurrent meniscus repair/transplant or articular cartilage procedure; copyright 2003

Surgeon / Author

Dr. Brian J. Cole

Published

2003